EQ Eligibility or Benefit Inquiry
To specify inquired eligibility or benefit information
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Code identifying the classification of service
R0102: At least one of EQ-01 or EQ-02 is required
Position of data in the repeating data element conveys no significance.
Code identifying the type/source of the descriptive number used in Product/Service ID (234)
Identifying number for a product or service
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-03 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-04 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-05 modifies the value in C003-02.
This identifies special circumstances related to the performance of the service, as defined by trading partners
C003-06 modifies the value in C003-02.
A free-form description to clarify the related data elements and their content
C003-07 is the description of the procedure identified in C003-02.
Code indicating the level of coverage being provided for this insured
Code identifying the type of insurance policy within a specific insurance program
A pointer to the diagnosis code in the order of importance to this service
C004-01 identifies the primary diagnosis code for this service line.
A pointer to the diagnosis code in the order of importance to this service
C004-02 identifies the second diagnosis code for this service line.
A pointer to the diagnosis code in the order of importance to this service
C004-03 identifies the third diagnosis code for this service line.
A pointer to the diagnosis code in the order of importance to this service
C004-04 identifies the fourth diagnosis code for this service line.